ABC Keystone Apprenticeship Program Application

Instructions:

Read this application thoroughly.
Complete each question as accurately as possible.

Name*

First Middle Initial Last

Address*

Street Address City State ZIP Code

Cell Phone:

Email*

Please choose one (1) trade you are applying for. You must apply for a specific trade, or your application will not be considered.*

Hidden

Check all that apply:

HS Graduate
Technical School Grad in selected trade
GED
ABC Pre-apprenticeship Grad

Check all that apply:

HS Graduate
Technical School Grad in selected trade
GED
ABC Pre-apprenticeship Grad

Name of High School from which you graduated (if graduated):

Name of Vo-tech you attended:

Did you attend a Vo-tech or CTC in trade of interest?*

Yes
No

If yes, indicate name of school (transcripts needed for confirmation):

Date of Birth*

Gender

Race and gender data is required by the United States Department of Labor.

Male
Female

Do you wish to disclose a disability?

Yes
No

Disability:

Race

Native American
African American
Hispanic
Asian American
White, not of Hispanic origin
Other

The Keystone Chapter of Associated Builders & Contractors, Inc. is an Equal Opportunity Employer and Educator.

Selection of apprentice applicants under this program shall be on the basis of qualification and without regard to race, color, religion, national origin, gender, or non-job-related disability. This sponsor will take affirmative action to provide equal opportunity in apprenticeship and will operate the apprenticeship program as required under Title 29 of the Code of Federal Regulations, Part 30, and the Equal Employment Regulations of the Commonwealth of Pennsylvania.

Are you a Veteran? (provide copy of discharge papers – DD214*

Yes
No

Are you currently employed in your selected trade?*

Yes
No

If yes, who is your employer?

How many years experience do you have in this trade, if any?

Please select your work glove size*

Small
Medium
Large
Extra-Large

Please select your t-shirt size*

Small
Medium
Large
Extra-Large
2XL
3XL

How did you learn about our apprenticeship program? (Check all that apply)*

Select All
Print Ad
Social Media
Company Referral
Web Search
School referral
Other

By checking this box and typing your full name below, you are electronically signing your application.*

I affirm that all the information supplied above is accurate and truthful. I understand that providing false or misleading information will disqualify me from the apprenticeship program.

E-Sign*

Date Submitted*

$125 Application Fee*

I will pay online.
My employer is an ABC member; Please invoice.

Employer Name

Application Fee

Price:

Total

$0.00

If you have any questions, please contact:
Cynthia S. DeWire
Director of Apprenticeship ABC Keystone
cindyd@abckeystone.org
(717) 653-8106
135 Shellyland Road, Manheim, PA 17545

Payment Method